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Organization

WELLMIND COLLABORATIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LEE ZICKUHR APSW (CLINICAL SOCIAL WORKER/OWNER)
(414) 373-5611
Entity
Organization

Contact information

Practice address
14530 W CAPITOL DR, STE 103, BROOKFIELD, WI 53005
(414) 373-5611
Mailing address
12605 W NORTH AVENUE, #146, BROOKFIELD, WI 53005-4929
(414) 373-5611

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/14/2025
Last updated
11/14/2025
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